National case note review
National workshops and seminars
Electronic platform - Fellows
Submission for Data Request
Committee Meeting Dates
The Royal Australasian College of Surgeons' Council is committed
to a national surgical mortality audit program that has been
modelled on the successful Western Australian Audit of Surgical Mortality
The RACS fully encourages the audit program as it is fully owned
by the surgeons with the understanding for the need to have
partnerships with governments and other bodies.
According to the Royal Australasian College of Surgeons' Continuing
Professional Development (CPD) Manual, it is a "requirement to
participate in the Australian and New Zealand Audit of Surgical
Mortality if a surgeon is in operative based practice, has a
surgical death and an audit of surgical mortality is available in
the surgeon's hospital."
Participation as a first or second line assessor remains
voluntary and is encouraged.
The Australian and New Zealand Audit of Surgical Mortality
(ANZASM) Steering Committee is the
amalgamation of the Australian state-based and New Zealand audits
of surgical mortality.
The ANZASM formed to engage and progress the audit
implementation in all regions. It provides a forum to support and
guide the development of the audit in all states and New Zealand to
ensure that both consistency and high standards are met.
The Qualified Privilege (QP) declaration (PDF
2.1MB) encourages surgeon participation within the mortality audits
by strictly protecting the confidentiality of information gained in
Via a blend of state and commonwealth legislation, the declaration
prevents third parties from using data that becomes available as a
result of the prescribed activity cannot be disclosed (in reports
or publications) outside of the activity in a manner that
identifies a surgeon. The confidentiality of the information
received is protected accordingly and high-level data security
procedures are maintained.
The QP declaration allows non-identifiable data to be used in
reviewing and analysing surgical procedures, while information that
may identify an individual requires the expressed approval of the
individual being recognised.
With state and commonwealth authority, the declaration effectively
allows surgeons to confidently participate in the mortality audits,
knowing information they liberally divulge will be utilised
exclusively for its designed professional development purpose and
ANZASM is comprised of the following regional audits:
Capital Territory Audit of Surgical Mortality (ACTASM)
Northern Territory Audit
of Surgical Mortality (NTASM) - Therese Rey-Conde
Queensland Audit of
Surgical Mortality (QASM) - Therese Rey-Conde
South Australian Audit
of Surgical Mortality (SAASM) - Sasha Stewart (Project
Tasmanian Audit of Surgical Mortality (TASM) - Lisa Lynch (Project
Victorian Audit of
Surgical Mortality (VASM) - Claudia Retegan
Western Australian Audit
of Surgical Mortality (WAASM) - Franca Itotoh (Project
Hospitals Audit of Surgical Mortality (CHASM) of NSW maintains
membership within ANZASM, but is managed by the Clinical Excellence
This report is based on the activities and outcomes since 2009.
Aggregating information from multiple regions over time will allow
identification of emerging trends in surgical care. The aim is to
identify any system or process errors and develop strategies to
A limited number of printed copies of this report will be
available by requesting a copy from your local audit office.
ANZASM 2016 National Report (eBook)
ANZASM 2016 National Report (PDF 8.3MB)
ANZASM 2016 National Report Media Release (PDF
ANZASM 2015 National Report (eBook)
ANZASM 2015 National Report (PDF
ANZASM 2015 National Report Media Release (PDF
ANZASM 2014 National Report (PDF
ANZASM 2014 National Media
Release (PDF 30KB)
ANZASM 2013 National Report (PDF
ANZASM 2013 National Report (eBook)
ANZASM 2012 National Report (PDF 2.3MB)
ANZASM 2012 National Report (eBook)
ANZASM 2011 National Report (PDF 1.9MB)
An erratum has been issued for the ANZASM 2011 Report 2009-2011
since its release in January 2013. Figure 34, page 39: The
percentage of consultant involvement by region performing surgery
in region 8 was incorrect. The figures for this region has been
correctly revised and should be replaced in the report by the
following pdf. ANZASM 2011 Annual Report page 39 (PDF 387
ANZASM 2010 National Report (PDF 1.8MB)
ANZASM 2010 National Report (eBook)
ANZASM 2009 National Report (PDF 743KB)
National case note review booklet and
The Australian and New Zealand Audit of Surgical Mortality
(ANZASM) national case note review (CNR) booklet is based on the
case note reviews and its outcomes. The aim is to identify any
system or process errors and develop strategies to redress
these. For printed copies of this booklet please contact
your local audit office.
ANZASM case note review booklet:
ANZASM CNR 2018 - Volume 14 (eBook)
ANZASM CNR 2018 - Volume 14 (PDF
ANZASM CNR 2018 - Volume 13 (eBook)
ANZASM CNR 2018 - Volume 13 (PDF
ANZASM CNR 2017 - Volume
ANZASM CNR 2017 - Volume 12 (PDF
ANZASM CNR 2017 - Volume
ANZASM CNR 2017 - Volume 11 (PDF
ANZASM CNR 2016 - Volume 10 (eBook)
ANZASM CNR 2016 - Volume 10 (PDF
ANZASM CNR 2016 - Volume
ANZASM CNR 2016 - Volume 9 (PDF
ANZASM CNR 2015 - Volume 8 (eBook)
ANZASM CNR 2015 - Volume 8 (PDF 1.7MB)
ANZASM CNR 2015 -
Volume 7 (eBook)
ANZASM CNR 2015 - Volume 7 (PDF
ANZASM CNR 2014 - Volume 6 (eBook)
ANZASM CNR 2014 - Volume 6 (PDF
ANZASM CNR 2014 - Volume 5 (PDF
ANZASM CNR 2013 - Volume 4
ANZASM CNR 2013 - Volume 4 (PDF
ANZASM CNR 2012 - Volume 3
ANZASM CNR 2012 - Volume 3 (PDF
ANZASM CNR 2012 - Volume 2
ANZASM CNR 2011 - Volume 1
RANZCOG case note review booklet:
The The Royal Australian and New Zealand College Of
Obstetricians and Gynaecologists (RANZCOG) national case note
review (CNR) booklet is in collaboration with the ANZASM.
RANZCOG CNR 2017 - Volume 1 (PDF 840KB)
RANZCOG CNR 2017 - Volume 1 (eBook)
National case note review App
ANZASM is in a good position to utilise the extensive
information learned to promote safer health care practices.
This App incorporates the second-line case note
reviews containing a more in-depth investigation of key
surgical issues and lessons. It will increase the quantity and
quality of information available on issues that relate to clinical
governance and patient care across the country. The second-line
reviews will continue to be displayed in a de-identified
The main features of the ANZASM National Case Note Review App
will allow you to:
- Search for cases - by specialty, key word searches and National
Safety and Quality Health Service (NSQHS) Standards.
- View Latest cases - view the latest monthly new case note
review cases that were recently uploaded when you receive a
- Provide Feedback - have the opportunity to feedback your
comments about the App.
- View notices of upcoming events - view notices about up and
coming ASM events around the country, as well as the release of ASM
With its easy accessibility 24x7, it can be accessed while
in a hospital or clinical environment without needing to carry a
hardcopy of the booklet.
Compatible with Android and iPhone tablets and phones, download
the App for free from Apple App store or Google Play and search for "RACS National
Case Note Reviews".
The Australian and New Zealand Audit of Surgical
Mortality-birth, deaths, and carriage, Ann Surg. Feb 2015.
No weak days -impact of day in the week on
surgical mortality, ANZ J Surg. Jan 2016.
Perioperative Mortality Rates in Australian Public
Hospitals: The Influence of Age, Gender and Urgency, World
J Surg Jun 2016.
National workshops and
Future events will be posted
- ANZASM Workshop, 11 May 2011, held at the Annual
Scientific Congress (ASC) in Adelaide based on some of the
activities and findings stemming from the audits. Download presentation (PDF 206KB).
ACTASM Seminar, 14 March 2018, "To operate or not and
end of life care".
- QASM NTASM
Seminar, 10 November 2017,
"Captain of the ship? A surgeon's role in safety and
SAASM Seminar, 12 April
2018, " Nobody Told Me: Poor Communication Kills - A
case series and panel discussion highlighting the importance of
- VASM Seminar, 14 February 2018,
"The journey to Target Zero - tools to address critical areas that
require improvement". Download report (PDF 29KB).
TASM Seminar, 3 November 2017,
"How can registries and audits improve patient outcomes - a
Tasmanian perspective?" Download report (PDF 50KB).
Symposium, 24 August
2017, "The Perth Emergency Laparotomy Audit - Where to
Electronic platform - Fellows
ANZASM now offers an electronic submissions platform called Fellows Interface. The paper-based
submission format is still current and available. The new interface
allows Fellows to self-report, complete and transmit surgical case
and first-line assessment forms securely online.
The Fellows Interface is an "either or option"; you
can only use the online or paper system. If you wish to change from
one to the other we will have to be notified to make the necessary
changes. Please contact your local audit office for further details
on submitting surgical case forms online.
The electronic option will not suit everybody yet. Those who
wish to take up the online option will be sent access details, and
user instructions see list of user guides below. If you require
further support please contact your regional office.
Fellows Interface User Guide (PDF 2.1 MB)
Self-generated Notification of Death User
Guide (PDF 258 KB)
Third Party Delegates User Guide (PDF 190
Third Party Delegation - Fellows User Guide
(PDF 554 KB)
The Australia and New Zealand Audits of Surgical Mortality
(ANZASM) will consider requests for data and data extracts for
special reports. ANZASM is a declared Quality Assurance Activity
and is required to work within specific requirements of the
declaration. ANZASM must protect the confidentiality of the
information it receives, to respect the privacy and sensitivity of
those to whom it relates and maintain high-level data security
procedures. Only de-identified data can be released.
- Requests for data should accompanied by a reason why the
analyses are required.
- Requests should have a clear & realistic plan.
- Requests require approval by the audit data-request
subcommittee and final endorsement by the ANZASM Steering
- Once approved, requests will be prioritised and work will
proceed according to the priority list.
- It is expected that abstracts be progressed into manuscripts
within one year.
- All publications prepared from this RACS data need to be
approved by the Director of RAAS, Chair RAAS and Chair
ANZASM. All publications from RAAS are reported to the RACS
Please email the completed data request form (PDF 1.1MB) to the RAAS
Director, Wendy.Babidge@surgeons.org for
national data extraction. Alternatively contact the regional audit
of mortality manager for regional data extracts.
An example of the type of data collected can be seen through
viewing this generic Surgical Case Form (374KB).
Please note this is an example and some States or Territories
may have additional questions not included in this form.
Exciting developments in the surgical mortality audits comprise
the inclusion of our Gynaecological colleagues into ANZASM with a
steadily increasing number of participants. The ANZASM audit is
notified of all deaths occurring after a gynaecological surgical
procedure. Participation by Royal Australian and New Zealand
College of Obstetrics and Gynaecology (RANZCOG) Fellows is
currently considered voluntary under RANZCOG CPD requirements.
2015 RANZCOG Progress Report (PDF 1.8 MB)
All general enquiries can be directed to:
Surgical Audits Manager - Dr Helena Kopunic
Research, Audit and Academic Surgery Division
Royal Australasian College of Surgeons
199 Ward Street
North Adelaide SA 5006 Australia
Telephone: +61 8 8219 0900
Fax: +61 8 8219 0999
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